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J Epidemiol . Changes in mortality during the COVID-19 pandemic in Japan: descriptive analysis of national health statistics up to 2022

tetano

Editor, Senior Moderator
J Epidemiol


. 2024 Oct 26.
doi: 10.2188/jea.JE20240158. Online ahead of print. Changes in mortality during the COVID-19 pandemic in Japan: descriptive analysis of national health statistics up to 2022

Hirokazu Tanaka[SUP] 1 [/SUP], Shuhei Nomura[SUP] 2 3 4 [/SUP], Kota Katanoda[SUP] 1 [/SUP]



Affiliations
Free article Abstract

Background: Amidst the global coronavirus disease (COVID-19) pandemic, Japan has faced a significant public health challenge, evident from the significant increase in mortality rates since 2021. This study described the variations in all-cause and cause-specific changes in mortality up to 2022 in Japan.
Methods: This study used official Vital Statistics from the Ministry of Health, Labour and Welfare (MHLW) to assess the impact of the pandemic on mortality trends. An analysis of all-cause and cause-specific age-standardized mortality rates (ASMRs) from 1995 to 2022 was conducted, employing the 2015 Japan Standard Population. Sex- and cause-specific ASMRs for a particular year were compared with those from the preceding year to assess annual changes.
Results: Among men, the annual all-cause ASMR per 100,000 people increased from 1356.3 in 2021 to 1437.8 in 2022 (6.0% increase). Among women, the annual all-cause ASMR increased from 722.1 in 2021 to 785.8 in 2022 (6.5% increase). Compared with the period 2020 to 2021, COVID-19 (+29.1 per 100,000 people for men and +13.4 per 100,000 people for women), senility (+14.1 per 100,000 people for men and +12.5 per 100,000 people for women), heart disease, malignant neoplasms (for women) and "other causes not classified as major causes" substantially contributed to the increase in all-cause ASMR from 2021 to 2022.
Conclusions: Further long-term monitoring from 2023 onwards is necessary, especially for conditions like senility, cardiovascular disease, and cancer, which may have long-term effects due to changes in healthcare settings, even though the strong countermeasures against COVID-19 were lifted in 2023.

Keywords: COVID-19; Vital Statistics; age-standardized mortality rate; excess death; senility.

 
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